Outpatient medical records for a teaching hospital: beginning the physician-computer dialogue.

We have developed an outpatient medical record (OMR) system designed to facilitate direct physician interaction with the computer-based medical record. During the first two years the system was in use, staff physicians, residents, and nurse practitioners entered 15,121 active and 1996 inactive probl...

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Main Authors: Safran, C., Rury, C., Rind, D. M., Taylor, W. C.
Formato: Artigo
Idioma:English
Publicado em: American Medical Informatics Association 1991
Assuntos:
Research Article
Acesso em linha:https://ncbi.nlm.nih.gov/pmc/articles/PMC2247506/
https://ncbi.nlm.nih.gov/pubmed/1807568
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spelling pubmed-22475062008-11-07 Outpatient medical records for a teaching hospital: beginning the physician-computer dialogue. Safran, C. Rury, C. Rind, D. M. Taylor, W. C. Proc Annu Symp Comput Appl Med Care Research Article We have developed an outpatient medical record (OMR) system designed to facilitate direct physician interaction with the computer-based medical record. During the first two years the system was in use, staff physicians, residents, and nurse practitioners entered 15,121 active and 1996 inactive problems for 3524 patients, and 12,651 active medications and 1894 discontinued medications for 3430 patients. These clinicians entered 20,321 items on health promotion and disease prevention screening sheets and with the help of automatic updating by the computer an additional 21,897 entries on screening sheets were made for 8686 patients. On the computer, clinicians wrote more than twice as much--10.9 words per problem, in contrast to 4.3 words per problem in the paper record (p less than 0.0001, Student's t). We conclude that clinicians perceived the computer-based problem list to be more valuable than its paper counterpart. American Medical Informatics Association 1991 /pmc/articles/PMC2247506/ /pubmed/1807568 Text en
institution US National Library of Medicine
collection PubMed Central
language English
format Article
topic Research Article
spellingShingle Research Article
Safran, C.
Rury, C.
Rind, D. M.
Taylor, W. C.
Outpatient medical records for a teaching hospital: beginning the physician-computer dialogue.
description We have developed an outpatient medical record (OMR) system designed to facilitate direct physician interaction with the computer-based medical record. During the first two years the system was in use, staff physicians, residents, and nurse practitioners entered 15,121 active and 1996 inactive problems for 3524 patients, and 12,651 active medications and 1894 discontinued medications for 3430 patients. These clinicians entered 20,321 items on health promotion and disease prevention screening sheets and with the help of automatic updating by the computer an additional 21,897 entries on screening sheets were made for 8686 patients. On the computer, clinicians wrote more than twice as much--10.9 words per problem, in contrast to 4.3 words per problem in the paper record (p less than 0.0001, Student's t). We conclude that clinicians perceived the computer-based problem list to be more valuable than its paper counterpart.
author Safran, C.
Rury, C.
Rind, D. M.
Taylor, W. C.
author_facet Safran, C.
Rury, C.
Rind, D. M.
Taylor, W. C.
author_sort Safran, C.
title Outpatient medical records for a teaching hospital: beginning the physician-computer dialogue.
title_short Outpatient medical records for a teaching hospital: beginning the physician-computer dialogue.
title_full Outpatient medical records for a teaching hospital: beginning the physician-computer dialogue.
title_fullStr Outpatient medical records for a teaching hospital: beginning the physician-computer dialogue.
title_full_unstemmed Outpatient medical records for a teaching hospital: beginning the physician-computer dialogue.
title_sort outpatient medical records for a teaching hospital: beginning the physician-computer dialogue.
publisher American Medical Informatics Association
publisher_facet American Medical Informatics Association
publishDate 1991
url https://ncbi.nlm.nih.gov/pmc/articles/PMC2247506/
https://ncbi.nlm.nih.gov/pubmed/1807568
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